BWFE2018-001678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 922S3
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
WALL/FENCE/SPECIAL/ENGINEERED DESIGN
Application Number:
BWFE2018-0016
Property Address:
46755 HIGHLAND PALMS DR'
APN:
643191013
Application Description:
NGUYEN / 72LF OF 5'-4" RETAINING WALL AT
REAR YARD
Property Zoning:
Application Valuation:
$1,558.80
Applicant:
JOHN DEMAYO / NGUYEN LE
46755 HIGHLAND PALMS DR
FEB
LA QUINTA, CA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7.153
Owner:
NGUYEN, T LE
2772 NURSERY LN
VIENNA, VA 22181
Cont ctor:
:JAMES BENNETT LINZNER
401 RADIO RD A-7
• •PAL"M SPRINGS, CA 92262
8794
DESIGC KID UEVELQPMttu i Lir- LIY�No. 769495
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No:: 769495
Date: 1!?—Contractor:
OWNER -BU DER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, Improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the#'
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractors) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (See. 3097, Civ. C.).
Lender's Na
Lender's Address:
Date: 2/13/2018
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the'following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is Issued.
_ I have and will maintain workers' compensation insurance, as required by .
Section 3700 of the Labor Code, for the performance of the work for which this permit
Is issued. My workers' compensation insurance carrier and policy number are:
Carrier: EXEMPT Policy Number: _ ..
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 or Code I shall forthwith
comply with those provisions.
WARNING: FAILURE TO SECURE W S' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMP691rR TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, Its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to en on the
above-mentioned property for inspection purposes.
Date:,.' ��� Signature-(Applicant-or•Agen
Date: 2/13/2018
Application Number: BWFE2018-0016
Owner:
Property Address: 46755 HIGHLAND PALMS DR.
NGUYEN, T LE
APN: 643191013
2772 NURSERY LN
Application Description: . NGUYEN / 72LF OF 5'-4" RETAINING WALL AT REAR YARD
VIENNA, VA 22181
Property Zoning:
Application Valuation: $1,558.80
Applicant:
Contractor:
JOHN DEMAYO / NGUYEN LE
JAMES BENNETT LINZNER
46755 HIGHLAND PALMS DR
401 RADIO RD A-7
LA QUINTA, CA 92253
PALM SPRINGS, CA 92262
(760)272-8794
Llc. No.: 769495
Detail: 72LF OF 5'-4" HIGH RETAINING WALL AT REAR YARD [SITE SPECIFIC] CHANGE TO MOUNTAIN
RUN OFF NOT WITHIN THIS APPROVAL. CODE CASE
NUMBER 17-1058 [MR) ***PLANS FOR PERMITTED SCOPE OF WORK INCLUDED ON PERMIT BRES2017-0316*`* 2016 CALIFORNIA BUILDING CODES.
L
FINANCIAL
DESCRIPTION ACCOUNT
QTY
AMOUNT
RETAINING/COMBINATION WALL EA 50LF
101-0000-42400•
0
$31.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$52.01
.DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
.0.
$65.02
Total Paid for BLOCK WALL: $148.23
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
I
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